What is revenue cycle outsourcing?

Revenue cycle outsourcing is the practice of contracting with a third-party vendor to manage all or part of a healthcare provider's revenue cycle functions. This can include tasks such as medical coding and billing, claims processing, and collections.

What revenue cycle outsourcing services does Access Healthcare provide?

Access Healthcare provides end-to-end revenue cycle outsourcing services, including medical coding, billing, claims management, denial management, and patient collections. We also offer revenue cycle consulting and technology solutions.

What are the benefits of outsourcing revenue cycle functions?

Outsourcing revenue cycle functions can help healthcare providers reduce costs, improve revenue capture, and enhance patient satisfaction. Third-party vendors like Access Healthcare have the expertise and technology to streamline revenue cycle processes and improve financial performance.

Is revenue cycle outsourcing secure?

Yes, revenue cycle outsourcing can be secure when best practices are followed. Access Healthcare adheres to industry standards for data security and HIPAA compliance. We also employ a range of security measures, including firewalls, encryption, and access controls. Access Healthcare has HITRUST Certification for its global operations

How does Access Healthcare ensure quality in its revenue cycle outsourcing services?

Access Healthcare maintains rigorous quality controls in its revenue cycle outsourcing services. We employ certified coders and billers, conduct regular training and performance evaluations, and use advanced technology to ensure accuracy and efficiency.

Increasing Revenue Cycle Efficiency through Collaboration

Achieving Business Outcomes, Expanding Scope of Services

Collaborative Revenue Cycle relationship

PERSPECTIVE

In today’s healthcare landscape, the need to do more with less has never been greater. Those companies providing services to the healthcare industry are being asked to streamline processes and increase efficiency at every step. Sometimes this results in a breakdown of quality and trust. Even a company that places a very high value on the quality of its services and maintains a positive relationship with its customers may not keep up with the rapidly growing demands of the industry and are forced to outsource part of its business. Unfortunately, sometimes those partners don’t have the same values.

SITUATION

A company that provides cloud-based services for healthcare revenue cycle management and point-of-care mobile apps was unhappy with its outsourcing partner's medical billing business process. Lack of transparency and trust made it impossible to tell if SLAs were being met. On top of this, the company was lagging in responding to opportunities presented by their customers’ changing and growing needs. As an all-in-one service provider, this resulted in the loss of customers and decreased satisfaction across the board. They needed a partner they could trust and rely on to help them provide current services and collaborate on new technologies and opportunities to address the ever-changing healthcare landscape.

OBJECTIVES

Increase efficiency and quality of all processes while providing complete transparency. Be a collaborative partner to respond to new opportunities quickly.

SOLUTION

Access Healthcare was engaged to help with various services, including AR follow-up, denial management, clinical document services, payment posting, and provider enrollment. Since Access Healthcare’s involvement, data entry errors have reduced by 5.2%, and overall quality has increased by 63%, according to the most recent audit. Resolving customer complaints had been eating into their bottom line, but the best practices and quality governance standards that Access Healthcare implemented helped reduce the cost incurred in running customer service operations.

The customer is especially satisfied with the quality metrics Access Healthcare can provide. Access Healthcare’s robust high-volume payment posting technology tools combined with arc.in workflow technology brings efficiency and automation to the processes.

Exceeding Quality Goals. Access Healthcare works closely with the customer and provides reports detailing 25+ quality metrics. The customer has even conducted their audit and determined Access Healthcare is operating at 97% accuracy against a goal of 95%.
Relationship Expansion. Access Healthcare also worked with the customer to develop new services and processes to address the needs of the end customers, including code matching services, micro-clustering claims, clinical documentation services, high cycle & high dollar denials, and follow-ups.
Improving Automation yield. In addition, Access Healthcare subject matter experts partnered with the customer to identify manual processes which could be automated. Automation has been successful in reducing turn-around times and errors.

RESULTS

Best practices result in more efficient and accurate processes
Process tools that reduce turnaround times and human error
A trusted partnership that enables the achievement of the Customer’s current and future goals
Transparency in reporting KPIs and quality metrics builds trust
Collaborative partnership leads to more services for the end customer
Elimination of redundant processes through automation to reduce the total cost of processing

Collaborative Revenue Cycle Outsourcing Relationship